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026-250-051
}[' WINTERS, Leonard16.53 Halpin Ln, Orovillecont: KCT ConstLI I653 HALPIN LN., PALER 0 k;7A OSI [GARA'GE CONVERSION -3434026-250-051 031653 HALPIN LN, PALERMrCont: OWNER.I ST RENEWAL, #02-2764 /3-32002 64026-250-0511653 HALPIN LN, PALECont: OWNERONE TiME TO FINAL _..._.�„ � •�• _. -� I � ' � 5 :.. �� ..�_� RESinFNTIAL. i A . ' • �� I 1636-91B,P,E,M tWINTERS, Leonard . 1653 Halpin Ln, Oroville cont: KCT -Const (new sf) g f i .v. v3` L ICE COPY0 Da e�—� ;- OFFICE COPY fell Address GAS - t Meter By—;'4, Da ELECTRI Meter By �E:::� JOB FINALED-113atel I Signature J=OK O = Not OK Not t Fready le MOBILE HOMES ` Date MOBILE HOME UTILITIES (Plans) OK except u's 1. Zoning Requirements -Setbacks -Easements d 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch)' 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete.- 6. Amp-Concrete:6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1' J Date MOBILE HOME INSTALLATION (Plans) OK except ff's J 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except ff's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except ff's 1. Setbacks -Easements - 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water.Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK f O = Not OK = T Ready Applicable RESIDENTIAL (; =Not Date 94DERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood- ope 2. Ftg., Main; Soils-Elec. Grnd.-/ tg. Depth Garage; Soils-Steel-Elec. Grnd.-/ ' F . Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5.' Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Fjold Downs and Special Anchors Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16 nsulation Date 1p Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PL BING (Permit) OK except ti's 6. W Htr:-Vent-Access-Combustion Air -Baffle ------- --- - -------------------------- __W- Pipe_Test &Anchor -Nail Protection ------------------- D.W.V.: Test:Fittings & Anchor -Nail Protection- - - er an: Test. First Floor -Tub Access -- - -- Tes ub &Shower, Second Floor -Tub Access ---------------------- ----------------- 2 as Pipe: Size & Anchors ---------- --------------------- ---------------------------------- Date Card B-1 Date Card B-1 -------------------------- ------------- -------------------- Date Card B-1 Date Card B-1 Date ELECT CAL (Permit) OK except ti's xture & Transformer Clearance -Ins. Protection --ec. Receptacles Spacing -Lights & Switches at Doors -------- -------------------------- 4. ize Boxes & No. of Conductors -Stapled 5. Romex Installed Close to Edge of Studs & C.J. Equip Ground made-up w!Mech. Fastners-Bond Gas & Water 2 App l ante CircuIs in Kitchen & Conductor Size!GFI 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------::-'-----_.--------------- - - ------------ ------------------ ------------------- 29. Range Circ. ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated.N ral ❑ Yes' ❑ No 30. vice -Riser Conductors & Ground -Main Disconnect --------- - - - - - -- -- - ------------------------- --- --------------- --- -- ----- ----------- - --- ----- ------------------------------------ V>-3-1. --------- 31. Equip. Clearances Panels-Motors-Mech. Equip. --------------- ------------------------------- 3?,-Clothes ----------------------------- 3 Clothes Closet Light -Shower Light -Spa Light - 33. Smoke Detector ---------------------------------------------------------------------------------- Date ---------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except ti's A.C. Ducts Insulation & Support --------- - - -------------------------------------------------------- ent Fan: Exhaust above insulation 36 Condensate Drain & Overflow: Size & Grade ----------- - - - - -- - - Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- ----------------------------------------------------------------------- ` 38 Attic Access & Platform if Furnance in Attic -= -- --------=------------------------------------------------------------- ------------------------------------- ----- --------------------------------------- Date Card B-1 Date Card B_1 ----------------------(------------------------- - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except t ti's Sils. Proper Material & Anchors _ 1. V IIs---tu-S-ds-Naili-ng Spacing & Bracing -Plates -Sound ---- ------- ------ ---- ----- -- ---- -- ----- 41. Bearing Walls over Girders & Floor Nailing --- -------------------------------------------------------------- raft Stop in Walls -(rat -Proof) ------------------------------ Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------- ------------------ - ----------------------------- 44. Headers & Beam -Size & Bearing 1 jingle & Duplex) _ Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors t.--116. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. - ireplace Ties or Type'A Flue -Fireplace Throat clearance - -- ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. arage Fire Protection Framing Property Line Firewall & Openings _t_Doors-One 3' -Check Garage -3rd Story, 2 Exits �5 tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----- 4.x["55 Siding -Na_ g Veneer o Mesh -Drip Screed -Fd. Vents-Underflr. Access ----- i � 7. Glazing Area -Glass Protection -Skylights -Plastic V58. Shear Walls; Nailing -Bolts --------- 59. 1 ation-Walls-Ceilings 0. Infiltration -Walls -Windows Dat- 1 Card B- Date - Card B-1 �3 Card -- Date Card B-1 Date Card B-1 Date FINAL, (Plans) OK except ti's t,-�Ext. Steps -Door & Sidelight Protection -Landings 62. a Detector 641, Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection - -- LJ -,644.. Bedroom Exiting L-----65 . G F.I & Bath Fixtures & Tub Access -Spa 66�Elec. Trim & Subpanel: Breaker Sizes & Labels 6YStairs & Rails Fireplace or Stove: Clearances Hearth -------- -- - - ------------------------- j�-6tJ"Elec. Outlets at Wood Panel. Int. & Ext. ------------------------------ Kit.Fixt & Appliance: Grnd -Air Gap -Cooking Clearance 7 let. Outlets & Receptacles at Kit. Counter rage Fire Door: Swing -Landing -Closer L-----7T7'A.C. Duct in Garage -Damper - - 74.y�(tr-_ Htr Vents -Clearance -Comb. Air-Connector-P.R.V. . �� - In Garage: Above Floor -Meth. Protection ✓75. Plb. Elec. & Mech. Equip. Listed for Location- i,�6 Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------- ---- - - sulation- Foam- Looked in Attic ❑ YesCuiujRlYdS - ----- ------------------------------------- --- ---`-- B' Guard Rails & Deck Construction -Post Caps ---------------------------------- . Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes �rllowin instld.; Drive ❑Yes � o: Walks ❑ Yes No; Planters ❑ s o --- ------------ -- Stucco B ---- - -- %C. Unit: Disconnect Electrical, Plumbing ------- ts Above Roof: Plbg.-Applian e-Fireplac Clearance to -- � VenO Wings - --- _�________ _ L----64-Water Well: Disconnect, Electrical, Plumbing - y Exterior Elec. Trim. G.F.I. Recepta le -Underground entilation Throughout House --------------- . Glass Protection --- - ----Corrections from Prev' us Insp ,cA ----------------------- ------ 89. G yeS�Met--- T ged; s-Ele - - ---------------------------------- ---------- - -------------- k/ged:--- - Pp -- --- 90 Water & Sewer Connected -C/O to Grade -HDA Approval___ _ 91. ergs Compliance Cert ficate -Other Certificates 'Dat -7- - Card B-1 - Date -Card B-1 Date /A 1' -,'%/Card B -i �. .Date Card B-1 CorKments at Final: ------------------ Date Card B-1 f • C9UIV7Y"OF BUTTE —.. r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE LU /A/-] -Hh s IT N A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 011 Lill s 1 J i ? Date Owner: J Permit' No. ENERGY CERTIF ICAT ION 1653 Halpin Lane Palermo Ca. Winters Res. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance ([t Value) EXTERIOR WALL Material FIBERGLASS BATTS Brand Name Thermal OWENS-CORNING Value) R19 Resistance(R Thickness(inches) 64" CEILING Batt or Blanket Type FIBERGLASS BATTS Brand NamWFNS ThermaleReOsistan -CORNING-- Value) R30 Thickness (incites) 9i" _ Loose Fill Type_. IBERr_iAsS _ = Minimum'Thicknes@(Incites) 16" Brand Name_ OWENS-CORNING Number of Bags 14 Wt. .per bag 35 lb. R38 Area covered(fE.ZZ) 720 . Thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) _ I hereby certify that the above insulation Was installed in the above building in conformance With the state of California gnarly Requ[rements. LOERKE INSIJLATI.ON •CO., INC. 499150 RM NAME/OWNER STATE CONTRACTOR S LICENSE NO. /J October 9, 1991 SIG TUBE OF INSTALLAT APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plana and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE N0. SIGN 'URE OF OFNERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 { COUNTY OF BUTTE _ •- _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, -Orville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE a:Y OWN R PERMIT NO. i; A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please, notify this office when correction of work is completed. If you have any question pertaining to this matter, or ed additional explanation, please contact this office immediately. W,&I/� 411Z ��/� yam. FO L -L- 'I4 Date ` 2 Inspector COUNTY OF BUTTE x - i DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 0 VNTE R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. 'Pi ease notify this office r when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. b . f Date ` "-3) Inspector F. r` i 40 V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 26-25-51 ZONING A-5 BUILDING PERMIT OWNER Leonard Winters TELEPHONE4„� SO. FT. DCC. BUILDING VALUATION 1426 R 72,726 OWNER'S MAILING ADDRESS 2710 Ricter Ave. Oroville 95966 480 M 8,640 CONTRACTOR'S NAME KCT Construction TELEPHONE 534-9724 60 C 780 CONTRACTOR'S MAILING ADDRESS 4 Rockrid e Oroville 95966 Fireplace "All 1,500 CONSTRUCTION LENDER Butte Community UNKNOWN Total Valuation $ 83,646 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 385.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 192.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING RESS Permit fee $ 602.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap R 1 2.00 16 C)n Solar or heat pump water heater 20.00 LOT t�Q,. SCJ SUBDIVISION NAME PARCEL MAP -%/•- Water piping 5.00 Each qas water heater or vent 5.00 5 nn USE OF STRUCTURE SF ffX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 nn Mobile Home S G W 10.00ea TYPE OF WORK New n Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work:3�R Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 611V OR LESS 10.00 100 AMP OR LESS Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.10& a Classification. 40 ❑as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNSCONST DWEACCLLIN GOCCUP.a� +/22sgft IL 2.50 ea NEW RESID. U NCH CIRCUITS) NO N.R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL0030 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ 80. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Split 16.00 6.00 Coolin 9 3 TON 1 6.00 6.00 Hood 3.00 3,00 Ventilation 3 3.00 _9.00 _ permit Fee $ 34.00'' Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ofE Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte againstPrHAZ. j all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %���� Date .Z Signator of Applicant - Owner ❑ Contracto&Z Agent An OSHA permit is required for excavations over 5'0" deep and de lition or construct- ion of structures over 3 stories in heigh 1 Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 c TOTAL F •E $ 792.65 tr 7 cuA - PARK I sc 11>V1 CDF I PAR PD i HD JISSUE, This permit is hereby issued under the applicable sions of the Butte County -Code and/or resolutions work indicated above for which fees have been DIRECTOR OF PUBLIC WORKS BY Date - PE EXPIRES Date ������ provi- to do paid. Receipt No. A WNITE-D.P.W., YELLOW-ASSC350R, PINK- NSPECTOR. GOLDENROD -APPLICANT M•:.rn. '_"^.'--� "'',,,,,.•'. y.R.+.1_l+,jr^.r�*'tir�,.: ,� r.y"Y,,,.„ r�'S�j'^v1Y.'..r.�...Ysr+,..+..�.,svg••r-y++cqn,�•tyc•}•.«rw�n.vs.r►v�-..-...-.•..- �_--. -r .-• ..�.-.. .. .v , �` -( COUNTY OF BUTTE - DEPARTMENT OFIPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 9965 - TELEPHONE: 916/538-7541 PERMIT.APPLICATIO'N'DATA SHEET / Permit No. OWNER (_/VJ-i'IL �lN�/V �C vC_S P. No. Proposed Building Use / V��(/ S( �� �`�Building�lnspector PO Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED r 1. All items have been submitted. lit 2. lot plans in triplicate, signed by preparer of plans ........ 5 -ZZ f -3. Complete,plans In duplicate/triplicate, signed by preparer. of plans . . r 4. Complete engineered plans and calcs, with wet signature on plans .. c; 5. Hazardous Material Form ....................... ..... . •' •.6. Energy Design Compliance and supporting documentation .. 7- Statement of Intent for Non -Heated and AC Buildings .. {r 8. Engineered truss details and layout in duplicate (required prior to plan check) t' 9. Mobilehome installation,daea including manufacturer's installation i instructions .... 11. Chico Urban Area fees pa ijZ,.G................................... 12. Park fees paid,.. School .. District fees ................ . �� / School District fees paid . � ' a v Sanitation approval from OX -0 pp Health Department 3-41819 1 15. City of Chico plumbing permit ........................ .......... 16. Plot plan and business license approval from City -of/ (see City for other requirements) fM` 41',. / 17. Planning approval for. (A) Use: (B),Parking: - / 18. Improvements may be required. Contact Land Development Section DPW 3 Driveway. permit (construction approval required prior to occupancy) 20. Pre -Inspection for required... Pre-inspec. request to Building Inspector (Da$@ 21. Contractor's license information: (No., Name Style, Classificatioh,)1j .� d J t1 22. Certificate of Workmans Compensation Insurance .............. -23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ..... P Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization 26. 27. When you issue the permit, process as follows Mail to owner. MaiI W contractor. Telephone -�3� /and o zd for*plc-kuP. at: ee office. -Del iver;'w/ b pector. Other ct J. Applicant C Date Copy of !-laz-Mat form sent Health Dept: Fire Dept. air Pollution Date Copy of plans sent Health Dept. , Fire Dept. Other Date • By The.following data must be submitted prior to permit i sua c :C' cIe n w ' em no a tell above). � 1� 1. Index permit for above items No. ' 2. Additional items required: Contractor, esigner, owner, was advised of above required-datA phone—nail—counter by 6W ..date Cdesigner, owner, was advised of above required data by—phone—mall—co nter by date Plans checked by Date__�_- �ZPlans approved by Date Sets of plans on hold in File cabinet AP folder i Copy—DPW TO Buildina Department FROM: Environmental -Health SUBJECT: Sanitation Clearance Owner L cation A .s Plan Approved' for: Sewaqe Disposal Water Supply aeLl Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for 1 3 bedroom mobil home. Other NOTE *** LL,;�-3Z& Dat® Sanitarian TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance I& A - 4Ae. e —.) owner locati AP # Driveway permit n • M f. si ature 014a4l has been issued for the above property - set. R.�• date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovIII9, California 95965 P Telephoner 916/536.7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER —,25- �� ZONING -S BUILDING PERMIT - OWNER -�,j-f'�t�.s 1_,e(9AAP&OWNER'S ' TELEPHONE SQ. FT. OCC. BUILDING VALUATION Z MAILING ADDRESS 9-7 /0 ;c-�es Me beo CA �5�6� CONTRACT R'S NAME TELEPHONE CT Co NSTE k3 C_ --t © � !OL - '72 O h V CONTRAC OR'S MAAIpILIN ADD ESS I�OG (Z &-,5 In 0 C(k a�j Fireplace l - �/ 1♦ 5�j CONSTRUCTION LEND R /� CeAAJV V/I UNKNOWN Total Valuation $ 10Y Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 39!5. © 0 ARCHITECT OR ENGINEER ` " l0Alle, E LICENSNO. Plan Checking Fee $ 2. _570 Energy Plan Checking Fee $ 00 S. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSa� / N Permit fee $ U .s17 " PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5,00 1 Each gas water heater or vent 5.00 S o •a USE OF STRUCTURE SF'�Z' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping .system 1 - 5 outlets 5.00 , 6ZI, Building sewer 5.00 .66 Mobile Home S I G I W 10.00ea TYPE OF WORK New(d Addition ❑ Remodel ❑ Utilities ❑ Installation[]Other ❑ Describe work: 3 bdrnn Permit Fee $ it 0 Contractor ELECTRICAL PERMIT Filing Fee " 10.00 Main service 61001 OR LESS 100 AMP OR LESS 10.00 )o Main service EA. ADD'L 100 AMP 2.50 Z� a CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ ors. (Sec• thr, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING Occu m� OR ADONS. ` ACC. SLOGS. , hQSgft /jbs NENO N.f?£SW CONID BRANCH CIRCITSSTR U TI.OUTL 2.50ea POWER APPARATUS d (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 8ALI A�o30 Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 ,0 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ .I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 5P Cooling f'QAi d Hood 3.00 .6'> Ventilation�� �� Permit Fee $ (jp Contractor ,l certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting.of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in Y.ight. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.0— 0.O— occ CONST TYPE p - TOTAL FEE $ HAZ. CUA I PARK scHL I FLD I coF I PAR I PD i HD. I ISSUE Th;s permit is hereby issued under the applicable provi- sions or the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. wNITT.n..,w...e,l.nw..e9.-g P PIN[-IN9P?GT0a. Gal-RVNP n_,PP,.If.�NT / Return to DPG! AGRIC.` IJURA!, STATDff% 1T OF ACKNi OWL EDGE,"IENT FOR RESIDEtiTIAL DEVELOPMENT t `..:Sc;,cti.on 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents OP'T'ED FOR'RECORDINq of this property may be subject to incon- �� 8:0'I A.Al1; ve.ni.ences or discomfort arising from the use of agricultural chemicals, including, �� but not limited to herbicides, pesticides, - - 1 and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort: from normal, necessary farm operations. ;V11 that real .property situate in the County of Butte, State of California, described as follows: DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 3, as shown on that certain Parcel Map being a portion of Lots 3 and 10, as shown on that certain map entitled, WEST PALERMO ACRES" �� which map was filed in the office of the Recorder Of the County of Butte, State of California, on August 20, 1979 in Book 71 of Parcel Maps, at page 89. PARCEL B: A non-exclusive easement for road and public.utility purposes as shown on that certain Parcel..Map beinga portion of Lots 3 and 10, as shown on that certain map entitled, "WEST PALERMO ACRES", which map was filed in the office of the Recorder of the County of Butte, State of California, on August 20, 1979 in Book 71 of Par- cel Maps, at page 89. PARCEL C: A non-exclusive easement for road and public utility purposes over that portion of Lot B, as shown on that certain map entitled, MAP OF WEST PALERMO ACRES, part of Section 7, Townip 4 East, M.D.B. & M., near Palermo, Butte County,Ci n Cali North, Range forwhich map was filed in the office of the'Recorderofthe County of Butte, State of California, July 6, 1912 in Book 7 of Maps, at page 2, lying Northerly of the Easterly extension of the South line of Lot 4, as shown on said map. ALSO TOGETHER WITH a non-exclusive easement for road and public utility purposes, 10 feet in width, lying Easterly and contiguous to the Easterly line of said Lot B, as shown on said Map. EXCEPTING THEREFROM that portion lyin extension of the Sg outh line of said Lot Southerly of the Easterly 4. i,. �,. ,;� .: �}?iY. �� �' i uNyYl r.�oc• . m . o;y .... i I . ,o'` I '. 1 v Date: �C — 7- PROPERTY. OWNERS: State of —)H On this the l day of _ t��lL 19C before me, the SS. undersigned Notary Public, personally appeared County of h,-4 e— .� ) L Pena rA C��s nfers Lente In 1'Pi'C F1 Personally known to me. Y Proved to me on the basis of satisfactory evidence. to be the person(s) whose •name(s) _ 01^-t— OFFICIAL SEAL subscribed to the within instrument and acknowledged that _ w ,LINDA M. LE SAGE NQTARv RUCUC CALIFORNIA E executed the sa ie for purposes purposes therein contained. IN WITNESS BUTTE COUNTY 14JEREOF, I hereunto set my hand* and official seal. My Comm ExIves Doc. 23. 1994 Present A.P. No. C262--�I— Notar y Pub '.c V. r�"q'yr"'"t "' r'1"''^'y""r.'k;+.J7q'fW'`"•-�.ry,*Ir'.. "i.'«r ^L�•".p•�r.r--.--,...tvw.-:M,M�'i{S'i`d+�f?r'k'a°i{%i+jy'i`?i�f►i.�j`+•`r^ktjnifh"`'Fr ncw.n'r+..--. .,,r". tr.r..r�-� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) qo"2 00() A.P. Number Building Department No. School District_ 04& I"(f�- City " County- Jurisdiction Property Owner Project Location/Address Subdivision Lot Number aResidential Development: Sq. Footage # of Living FMHI Addition (Group R) Units Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas) 7(/3'/ Building Department Representative Date .,-(Floor Plans reviewed by School District Personnel) District Id No. 910247 School District certifies that plicant_Name) 1 (Phone Number (,5treeet Addre s ) (City) (State) (Zip Code) has complied with the requirements of. Resolution No. 10..5--90 by the payment of -$ �r�tJr , Q b representing /square feet. �c�nQ lam l School Distfrict Representative Date 41 PAID BY CHECK NO. � �6 BANK NO PAID BY CASH white_applicant, yellow -building department, pink -school district SCHOOL. -FEE (8/88) RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F.,,D,UBLEX & MISC. ONLY) .1 Bldg. Permit # ��. (0— y OWNER_ �,(% / i% _ �J .t A : P . # 12- Plan Checker. GENERAL /Zoning requirements: (sideyards and number of permitted living units). .. aluation. lans signed by designer. Proper description of work on application. /e^xisting violations on property. Items on data sheet. (W.C.', fees, Health, Developer Fees, License law, etc). corded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. L• Grading, fills, drainage. lood hazard. Special conditions on creation map, ustible, and foundations). AU & FAS road setback. (noise, CDF, fire sprinklers, non-comb- uilding•or utilities across lot lines (Record form): FLOOR PLAN omplete to scale plan with dimensions. /. Required windows for light and ventilation (Sec. 1205). / Required windows for second exit (Sec. 1204). �kylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). -�GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).. Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical a ui ment. �-- Locations of ater heater, heating and cooling equipment, other electrical gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 (f). . Fireplace and wood stove location, alcoves, and clearance. S oke detectors (Sec. 1210). . Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS L1 tandard bracing or -engineered design (Table 25V) �: Unusual shape, size, or split level house requiring lateral design. -3' Foundation plan complete enough to construct building. 1oor construction details complete enough to construct building: Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. -9-.�Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. .1 -Adobe soils - special foundation design. . Retaining walls requiring design. -3--SVecial Inspection required. building. 12/90 RESIDENTIAL PLAN CHECKING,GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FORV' Stairway details: landings, rise and run, head clearance, handrails • (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). ck or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). per roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. iving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). ttic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2.516). . Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. .15'Energy design. mashing at.all exterior openings. -P7-.-T_DF responsible area requirements. , 7 r7 41" c � Gt o a C< <Tz ~ - Gc J �S s �o NOTES r � RESIDENTIAL 1 PERMIT NO. _ 02-2764 ,.F026"-250-05'!• ____,_..,,., __ _,�___4 SIPOS, CSABA 1653 HALPIN LN., PALERMO E GARAGE CONVERSION C4 �G ; SPECIAL CONDITIONS f CHECKED BY SRA 1 t FLOOD CERTIFICATE REQ. A t FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS t VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature II AL -COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 Count Center Drive • Oroville, California 95965 • Telephone 530 538-7541 t` f�i , o• County p ( ) 0;' 7 / ttk (Rev.12l9q)'JX APPLICATION AND PERMIT ASSESSOR PARCELNUMBER 6 -AO -051 ZONING BUILDING PERMIT OWNER ## ' ' TELEPHONE R31-8807 SO. FT. OCC. BUILDING VALUATION 430 U -R 9.600. . OWNERSMAILING AD RAESS •� t*,�� 16 9.3 M PTI N 9 PA ER M 0, Q Q Q CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee 76.09 BUILDING ADDRESS 1653 HALPIN IN. PALOW Energy Plan Checking Fee $ 23.Op $ PERMIT FEE $ M.0.5 LOTNO.-I F SUBDN6IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 ` USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 7.00 21• 00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE CONVERSION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 1 Mobile Home S G W @20.00 PERMIT FEE S 71.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A 00 R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46.00 NEW CONST. ( DWEWNO OCCUP. OR ADDNS. a ACC. BLns. 3.SQ�. �L V � 80 T. NO"ON.pESID. MULTI.OUTLET @7.50 OWER APPARATUS 8 PSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL. o .so Ex. Occup. DuTLEDrs'R9%.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities. 20.00 Misc. Wiring 23.00 PERMIT FEE S 36.$0 WORKERS' COMPENSATION DECLARATION 1 hereby. affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owner ❑ Contractor Date in- 1� :)S:,6n_atu_r, of Applicant - ❑ ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 1 4050 4.50 EX= DUCT 115.00 PERMIT FEE s 39.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 1-6.00 occ .3V coNST. :TOTAL FEE $ 4 9.35 HAZ. D. FE IMP FLOOD �. CDF ...• PARCEL V PD HI� ISSUEcompensation This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON %> I the applicable provisions Resolutions to do work been paid. Date I 9/ 0_5 IDete.,f ReceiptNo. .363896 $429.35 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J=OK 0 = Not OK Not Applic . = NotReadyaD1e Water; MH Test -Regulator -Connector MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Gas and Electricity Tagged 1. Zoning Requirements -Setbacks -Easements 10. 2. Soils; Special MH Support Sketch Cert. of Occupancy 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Card 6-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date PERMANENT END SYSTEM (ONLY) 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 2. 7. Well Clearance & Disconnect Blocking 8. Utility Clearance 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected Date 9. Card B-1 Date Card B-1 Date License Decals Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s _ 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 1. 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date. Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings ' 12. Braced Wall Panels Date Card. B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI • 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test . 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel=/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped HQjckDowns and Special Anchors I " lab, Steel -Wrapped 8. Pie ire lace Ftg.-Steel Fall -Fitting -Test -2 Way C/0 -Sewer Test . 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUM (Permit) OK except #'s ater Htr.; Vent -Access -Combustion Air Baffle 1 ater Pipe; Test & Anchor -Nail Protection .V.; Test Fittings & Anchor -Nail Protection i 0 ower Pan; Test, First Floor -Tub Access / 1. Test Tub P. Shower, Second Floor -Tub Access 2. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 2 c_. Receptacles Spacing -Lights & Switches at Doors 26-M-6 Boxes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. 26-rq-uip. Ground made up w/Mech Fasteners -Bond Gas & Water uits in Kitchen & Conductor Size GFI 3a>�i feed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No onductors & Ground Main Disconnect 3x--E9lp-ete8rances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light to -, moke Detector moo Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEQkhWCAL (Permit) OK except #'s 36. A. ucts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Ait Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound 4 . Bearing Walls over Girders & Floor Nailing 44!6raft Stop in Walls (rat proof) 46"Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 44,4eaders & Beams -Size & Bearing Date FRAMINSa (Continued) angers -Post Caps -Anchors -Connectors 4 - r. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 4 pe A Flue -Fireplace Throat Clearance ss; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52 a Pn%ection Framing -RC Channel 5 Ine Irewall & Openings Doors -One 3' -Check Garage 3rd Story, 2 Exits 5 r - eadroom- Rise -Ru n- Landing- Fire Protection 56-PI)yo2d on Roof Overhang -Attic Vents -Rafter Outriggers rd-ing-Nailing Veneer 8. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 0. Shear Walls; Nailing -Bolts _..61. Brace erior/Exterior Wall Panels sulation-Walls-Ceilings //L,, -ICT -Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s ,,§4,�E�. Steps -Door & Sidelight Protection -Landings 6e. moke Detector 66-. urnace Vents -clearance -Comb, Air -Connector - In -Garage; Above Floor-Ducts-Mech. Protection edroom Exiting Q.F.I. & Bath Fixtures & Tub Access -Spa 6V Elec. Trim & Subpanel, Breaker Sizes & Labels -7Q_Slairs & Rails -74 Fir�place or Stove, Clearance -Hearth 79--FIec. Outlets at Wood Panel, Int. & Ext. "T3--K+-Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance -747"Etec. Outlets & Receptacles at Kit. Counter `75--G-arage Fire Door; Swing -Landing -Closure 76 -,4 -C -Duct in Garage -Damper '7 _Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. ip Garage; Above Floor-Mech. Protection . Plb.; Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage (F.F.I.)-Romex Protection W. Insulation -Foam -Looked in Attic 8a . ward Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes lowin Instld./Drive 0 Yes 0 No/Walks ❑ Yes 0 No/Planters ❑ Yes 0 No Stucco Brown -Finish Unit Disconnect, Electrical -Plumbing r . Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 'Bq-�Mter Well, Disconnect, Electrical, Plumbing E,xterior Elec. Trim, G.F.I. Receptacle -Underground ntilation Throughout House 22Z.lass Protection Corrections from Previous Inspections Q32-'U'as Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates g, . Address Posted Fire Sprinkler Date -7,/4/,'Ps--Card B-1 C,*.A_-Date- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 ®�� �• (Rev.12196). , APPLICATION AND PERMIT «llll/// SII ASSESSGRPAROE!_ NUMBER 026-250-051 ZONING - BUILDING PERMIT OWNER TELEPHONE —8807 SO. FT. OCC. BUILDING VALUATION 480 U—R 9,600. .OWNERS MAILING REBB 1A91 14ATPTN TN- PALEMO, Q_ 959-68- CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76-09 BUILDINGADDRESS 1653 HALPIN IN, PAL Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 2-36-05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 3 7-0021.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE CONVERSION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 71.00 ELECTRICAL PERMIT Filing Fee 20.00 OOV OR LESS Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License ,ILaw r the following reason: jaiI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O I am exempt under Sec. Business and Professions Code for this reason Main Service 200L TO lOooA 46.00 NEW CONST. DW NG OCCUP. OR ADDNS. ( 8 EWACC. BLDS. SO 3.50FT. 6.80 NOON-RESID. T. MULTI -OUTLET Ul 97,50 POWGER APPARATUS LE 8 SINOUTLET CIR. Ex. Occup OUTLET OR FIXTURES SAL p 1.000 Ex. Occup. oFIXunFrs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of.the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1=( / ^ O n Date l (J ? ignature of Applicant - Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionkgXo;�y of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation L �D DUCT 15-00 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 cc 3 CONST. OTAL FEE $ 4 9. 5 HAZ. D. FE IMP FLOOD cDF PARC Po H ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been aid. Date �• D� Defe ReceiptNo. 363896 $429.35 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -�;.__.,,... ... �...ti. ... .�. ��•�. _.�..,,:;�;;��••:w>..+a... Mc.�ar..� .---ter.._. .•.�.- - r. �. ._ F _��,,,. .. .. . it �•4 � ,• �, ... COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �.." 7 County Center Drive, Oroville, CA 95965 Phone,(530)538-7541 Fax (530)538-2140 n~ PERMIT APPLICATION DATA SHEET f ASSESSOR PARCEL NUMB R OWNER: Proposed. Building, Technician: Date:- Iteemms required in order to appy for a permit. All boxes MUS.' be"checked OR marked NA in order td apply. Plot plan , 3 or 4 sets, signed by the preparer of the plans �2. Complete p`lansr 4 sets, signed by the preparer of2the pl'an`s:,> ❑ 3. Engineered plans, 3;or 4 sets, with wet signature on p'lans`�ND 2 sets of stamped and signed calculations. r Engineered truss details and layouts Jn'duplicate xNo faxes! / i •• • 1 � yr l ./'� [ � (. I � 2. 5. Energy compliance de'stgn and supporting documentation in duplicate. �� ❑ 6. Manufactured homes: (A) Data sheets and installation%nstructions, (B)•Marri ge line information, (C) Floor Plan, (D) Tie down or foundation plans, all'in duplicate. ~ i 7. Metal buildings: (A) -Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D)FI o6r plans in'triplicate. All of these must be stamped and wet -sing ed''b�y the engineer. Items required for initial plan review: If checked items have not been received, plan review cannot proceed. The permit will 'be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11< Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... r,.. ❑ 13: Other . 0, Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) � • 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ' ❑ 15. Statement of Intent for Non -heated and A/C Buildings ....................................:... f V,16^Sanitation and plot plan approval from the Environmental Health Department in&- i /D -0-0-L �_ �'❑`'17.'City of Chico Plumbing permit ............................... 3 0 X18. California Department of Forestry plan approval ❑ paid. Sent by: ,19..Planning approval for (A) Use: &K (B)Parking: (C) Parcel Check: J d -1 U— . 3, 20.,,�Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). <r*. �* ❑ 22: Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.....................:........ 0125. ,Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued TelephoneS33— and hold for pickup. ' I have been informed of the above items and requirements for obtaining a building permit. y _�&p1Applicant Vt 5 \p� Date: 'c� - O V 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items -r ed , IVContractor, designe , ,'was advised of the above data by fihone, ❑ mail, ❑ counter, by 6 Date: Contractor, designer, owner, was advised of the above data by ❑ phone, . ❑ mail, ❑ counte y Date: Plans reviewed by: Date:. *' Plans approved by:� Date:_ Structural reviewed b Date: Structural approved by: Date:_ Note transfer by: - Date: /0 .ZI "0Z Yellow: Building Division t OZi1 Vis• w E.H. USE ONLY Plot Plan Anachod Floor Plan Atuchad Santo G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 5 ; Pos Crib �- " �` Sg G,r i�D M,, 0S/ Owner t Location AP# t1 Plan Approved for: Sewage Disposal L" Water Supply: Public Private Well li I Clearance for '-dwelling. Other ' Q - &d rrc �doi itg , -1b ^dk N� Hold final for: Final clearance O.K. for: NOTE: 4-4� r 1= \ /6 — Y-0 a�- Environmental Health Specia Date alas • 6-k 7 . 11 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER dLla SA A.P. # o PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due .......................$ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ...... $ . 2. S OL DISTRICT FEES - (paid at District Office) (Available after Plan Cheek) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) A41�. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The reyirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) I County (;enter -Drive • Oroville. California 95905 o Telephone (530) 533-7 4�1 APPLICATION AND PERMIT .:sE,s:oaoMyciN+u4NecR t'✓ /1 �` O�/ ro o p BUILDINGaPERMIT A ID :J•.T,"CAS .41N0 400AE55 — ': J•S fay c"Ca LENOER VA i•.o Ea I .L. v.a ALIO RESS Fireplace i To ••':-^Ec' .3 N. A ECu,E EA LXEr6E 0 I�Valuallon I ti�'FIJin Foe •%:�1'ECr Ca [r.CwEEAS w4.L Nti 40 Caf S5 Permit Fee Plan Check:ng Fee a� u�.c 4ccafss Energy Plan Check I -- I Lor NO S= I SUBDIVISIONS NAME I USEOFSTRUCTURE Cuplex O fvlobilehome O Other Ae— TYPE OF WORK z« " Addrton (model ❑ Uldlibes ❑ stalatior+ ❑ Other a,cr be Work: i Sf(,v csb ME) "'PMAUT FEE PA10 5 PA e SHMFI' OTMe AA a L--V;i r v. Fee PERMIT FEE PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water hearer or vent I S ling Feel_ 7 2 0 ( ZI- 23.00 1 5.00; tfC? 15.00: Gas piping system 1 • S outlets L t 5.00 Building sewer ! I t 5.00, I5 -..: Mobile Home I S: G; W ( @20.00' PERMIT FEt:IS —71.— - ELECTRICAL PERMIT I 1 Fling Fee; 2- C Main Service( °0°` =ooRa IfLESSs s -- ) i -- -- - - 23.00'T Mein Ser.ice ( zow TO 10004 66.00 NEW CONS'. CA 4DONS. ( 6 ACC SIDS J ! /6 •7.SCf? :NEW CONST N+CM AES10 M4/CM CfE - T9 APIPMW (a SreOl! OVrLET GR 1 I 1 ovr Ex. Occup. I0.ncru"I I _ zo a iao a� V __— Ex. Occup.VrLEorS I )En) i I 5.00 Temporary Service ! 23.00 Mobile Home Facll;lies 20.00 .V;sc. VJ;nng 23.00 ' PERMIT FEE S , MECHANICAL PERMIT Heating Feo j 20 C : Cooling I -.--- Hood Ven 11atior 4. -V i 1 '1 S PERMIT FEE I S . S� Mobile Home Installation Fee S _ Energy InspectioplFee S co r n TO Ale FEE $ 0 r -EES: It.000 CO, Eli 1 •d I This permit is hereby issued under the applicable provlslc-ss of the Butte County Code and/or Resolutions to do «c:'� Indicated above for which fees have been paid. By RecetptNo. PERMIT EXPIRES ON 1 wr4ITC-0 0.9 .9.0. CANARY•ASSBSSOA • PINK •INSPac YDW ecnN narann.ebvt IFA4N r Date ___ __---- r CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title........... MR & MRS SIPOS Date ^04/11/02 20:47:37 Project Address........ 1653 HALPIN LN. *******----------__ -- Documentation Author... PALERMO, CA. 95968 Barry Rubanoff Barry Rubanoff P.O. Box 1123 Berry Creek, CA 95916 530-589-4102 *v6.01* ******* 70 Bui ing Per i t # .5 7 0- /L/ Plan Check Date Climate ,-Field Check/ Date , ma a Zone. 11 _ __________________ Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. I MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM CF -1R User#-MP2246 User -Barry Rubanoff Run-SIPOS ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 1918 sf Single Family Detached Existing Plus Addition Front Facing 270 deg (W) 1 2 Slab On Grade 10.1 % of floor area 0.83 Btu/hr-sf-F 0.68 8 ft BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total Assembly Type Type R -value R -value R -value U=factor Location/Comments Wall-------- -Wood -R-17.8 R -0------- -O---- !R�_17.8 --0.065 ------------------------ Wall Wood R-15 R-0 '�R-15 0.081 Roof Wood R=11 R-19 t`R-30 0.031 Attic Roof Wood R-11 R-27 `-R-38 0.025 Attic S1abEdge n/a R-0 R-0 F2=0.760 Door n/a R-0 R-n/a R-0 0.330 ENTRY DOOR, REAR DOOR FENESTRATION ------------ @ PP Ove -W 1 U aJi V Exteriorhg� DEPARTMENT Shading Fins Location/Comments Standard None Meta %`Slid i/'SC=0.88 Standard Yes VINYL/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 GtandnrH wnnP MPtal /G1 iaPr/Cf =n RR Area U_ orientation (sf) Factor SHGC Wind Front (W) 32.0 0.940 0.700 Wind Front (W) 21.0 Q0.500�0.610 Wind Front (W) 17.5 0-940 0.700 Wind Front (W) 32.0 0.940 0.700 Wind Left (N) 6.0 0.940 0.700 Wind Back (E) 17.5 0.940 0.700 Wind Back (E) 12.0 0.940 0.700 Wind Bank (R) 9.0 n.94n n_7nn Ove -W 1 U aJi V Exteriorhg� DEPARTMENT Shading Fins Location/Comments Standard None Meta %`Slid i/'SC=0.88 Standard Yes VINYL/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 Standard None Metal/Slider/SC=0.88 GtandnrH wnnP MPtal /G1 iaPr/Cf =n RR ROW, wn- 44 now '.0 .1 . a.QPI A. 1 an won :'a 116K is! 0: 1 9 n;D! 11pnin . I nn MA OLD Sea WITAIUM. :-9HR W 01 Z' W-1 3.11-A Kv Wo 1 11'i 00.0 :00 0 15.q loo.7 Ano.j ICCA OAV Q-TA de 1 '-- 0,1 0 C8 7"v QA_ MW op? TV SwA i ; bKV, Wvonn". 1 Z A owul ?w -Lanz! 7p% mica ""M hwvRnwln A ' • v r`y .� 7 w I CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -IF ---------------- Project Title.......... MR & MRS:•;SIPOS Date 04/11/02 20:47:37 I MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM CF -1R I User#-MP2246 User -Barry Rubanoff Run-SIPOS ------------------------------------------------------------------------------- Orientation Wind Back (E) Wind Back (E) Wind Right (S) Wind Right (S) FENESTRATION ------------ Area U- (sf) Factor SHGC ----- ------ ------ 8.0 �0-�-50 X0.610 4.0 0"940 0.700 16.0 0.940 0.700 21.0,x.-4-':500 0.610 Over - Exterior hang/ Shading Fins Standard Yes Standard None Standard None Standard None SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ Standard Slab 1572 HVAC SYSTEMS Location/Comments VINYL/Slider/SC=0.88 Metal/Slider/SC=0.88 Metal/Slider/SC=0.88 VINYL/Slider/SC=0.88 WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulatior Tank Type Heater Type Distribution Type System Factor (gal) R -value - --- Standard -------- ---i-- -----,0-_ --40----R_-n/--- , orageGas REMARKS Refrigerant Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type ------------ Efficiency ------------ Airflow Location ------- ------------------ R -value Leakage D Type Furnace0�78�0'AFUE n/a Attic ------- R-4.2 ------- No ------ No ---------- Setback ACSplit 1`00.O;�SEER No Attic R-4.2 No No Setback WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulatior Tank Type Heater Type Distribution Type System Factor (gal) R -value - --- Standard -------- ---i-- -----,0-_ --40----R_-n/--- , orageGas REMARKS .r M Anw., ISVO 30412 Anx a R? ....... .. wf�.T Anstaxq A. -I. 02M - %z -goal SQUISTD-ADW 2- a! P 70 6v ATY =&- wy! %pn6d svjzv.R ASTOR nWITAW AWN',' 1EU1311A Anw., ISVO nolwsivaal slid 1pusnR %pn6d svjzv.R jTvpj yujo5R mquy2 sqyT ants POWs% Ant a0was 3oy kw-- Da.Q 68 �.s lot a\: 001 0 012.0-.0 SUM 00, C chy.0 . - — r A, MIN WOMM 0: d. 0 21 .�piz bn1W MAIM F qj-.! SSIA tie) ---------- c k� 2METRY2 WAT a0lisoad ""LIVIA n c L'. MUM OM am OVAOcy fA AMOK a V11 OU R.A-R RA ASTOR nWITAW AWN',' 1EU1311A Anw., nolwsivaal slid 1pusnR svjzv.R jTvpj yujo5R mquy2 sqyT voinvOlamij wq-T as2FOh sqy! AnsT Da.Q �.s lot a\: CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 4 CF -1R Project Title.......... MR. &-MRSwSIPOS Date..04/11/02 20:47:37 ------------------------------------------ I MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM CF -1R I User#k-MP2246 User -Barry Rubanoff Run-SIPOS ------------------------------------------------------------------------------- COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or'OWNER Name.... MR. & MRS. SIPOS Company. OWNER/BUILDER Address. Phone... License. Signed.. (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... Barry Rubanoff Company. Barry Rubanoff Address. P.O. Box 1123 Berry Creek,- CA 95916 Phone.'.. 530-589-4102 Signed.. (date) rl 3rr c:v 'T � Lin.. er! o J.-Jiw V�m-o.,i ci J� E. C) ZI"'ic. f J, r-_ J c Ll e,di b; -t -c f; -4 v-, �d bqnpla r:90-.1 j I :1 SV'o C, f*... -t,� -LID ;P.r: -I ;1.,s�rl,- :o F, L a 15 bl" mclue I;J MISIMU-00a AD >.qr-)UD 0 1 ip 8 2 - 0 E, 8 MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1F Project Title.......... MR. & MRS. SIPOS Date..04 it 02 20:47:3-1 Project Address........ 1653 HALPIN LN. ******* --------------------- Documentation Author... Climate Zone........... Compliance Method...... PALERMO, CA. 95968 *v6.01* Barry Rubanoff ******* Barry Rubanoff P.O. Box 1123 Berry Creek, CA 95916 530-589-4102 11 Building Permit # Plan Check / Date Field Check/ Date MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. I MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-SIPOS ------------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must contain thesE measures regardless of the compliance approach used. Items marked with ar. asterisk (*) may be superseded by more stringent compliance requirements lister on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties a: minimum component performance specifications for the mandatory measures whethez they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforce - *150(a): Minimum R-19 ceiling insulation. er men 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. r1 nGPahl tm mPt-al nr rrl acs rinnr q P.-,;Tm T F!, 14 c P -()!q T -4 L _�7q 7 T N ......... . Ira -OOC -Inl if a 0 4�, Cap C) z .':IN •C": 7,-z di:j w C, a !a X".) Sri. D o f, !E,;- _j flo z vd ad ,.Zff-c� S.C.""J L, r1w aq-.uv--_6c-ijn -;o'! -Im3mu:oo,,_� oltn'. f: f"-" no I,- a T )"M nol- Eli 1 1- ri "III-- Yi 021 is I -1'.q-_wJ1 _-) v, fie, i -.J5 J c)o,.T d) 021 C" b em z 7 a bo. c;,,, r -t "L-. ac, x j u al.l.5. i_ 1.1io.l 0 1 rzw Elft -.6 -.1'ft r,.-, r1i I�q; 2 V P'r, e OJ a - me 17 a M 'b 021 om za". ri aw` on 9 -r -"X. w vari s -q sup flo Jc-, ',janl 3� br.E s., �E o o e, bile, 8, F1 il -D aw,,j.)rt..j-w a!a:)zqa i C!, &r.) I. �t J. -w f -IF,102 J 7( -zo., n: ; : s, . .") 0,- � I a " j -,,, sy ti. --_`,3C%? -ior Cr b -(er � 021 'v un aall� o s. G f C� ao r3 C', qp 0 2.r br-M MANDA,TORY'MEASURES CHECKLIST: RESIDENTIAL Page 6 MF -1F ---------------------- Project Title.......... MR. & MRS. SIPOS Date..04 11 02 20:47:3'j I MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM MF -1R I User#-MP2246 User -Barry Rubanoff Run-SIPOS ------------------------------------------------------------------------------- b. Outside air intake with damper and control c. Flue damper and control \ / 2. No continuous burning gas pilots allowed. X SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -------------------------------------------------------------- Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h). Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. 150(i): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric IJ 'I TA --A. .jq J I J. 71 to Vii j f CJ I 02 02 1 P5 J --51L s :I 3 S 1"CP a i, I C2' T r." A k fie 02 1 .1 Ffj Ld fl f2 LQ n 0.Af T:: o a -In nf-) -19C.,' . i--. C- a C)j h e -- U a t E 13f) 10 II C'. -1 I7n Jl- 4 IS t.) a il -,u -,z 14 r VJI:v E 1%-fi o no v-- f: IJ :!.(-3f f e. of r-pol rj L. MANDATORY'MEASURES CHECKLIST: RESIDENTIAL Page 7 MF -11 ---------- ------------------------------------------- ----------------------------------------------------- Project Title.......... MR. & MRS. SIPOS Date..04/11/02 20:47:3j, I MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM MF-1R ------------------User#_MP2246 User -Barry Rubanoff Run-SIPOS I' ----------------------------------------------------- resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 7 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). LIGHTING MEASURES ----------------- 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control- panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. Design- Enforce-; er ment f r X -9=0112 1. � IT 1;(rtAJUA NU;AUaX 20q12 22M 2 qm ------------------------- .ndpil joliq on bao '�.xsd "Drs:7000-1 :dAW 00 LUMO 1 01 MA ismys bnn 19MA neawled sqIq K Wnni DE Me! M Vowun 3SW� slut= 1;*-'. -asqa mobjun on Kocq 700bluo 10a -COOW :J aAMMUOND a Me u3slal Onol-011A nsn mos'"I Cog A ' walya SIL qss'.-4 no mmood Hog aamms! '' Aamss Owl"-aBD :211 pit: -,You "MUCUMPOD CE Sven 2ssns11qqs psAprz Q05=011 jnoj;qsnxF, j1pil joliq !as \UZI 31 � 0 10i hq a0w ----------------- lizAa anadmix K pajospil ;x1swp awi awymnMnj :11A)OK nessele 10 31swy14smaj Of ao Nizalsoa nh w1w w4mV Ovad p1joep±1 fsmsae2 HAT aaaMAY A UMNY11 HIMS? Mt AdMODDS Ylibses s UO d0jim 9d Wde meaOMA SM on e0wayno nz an i9wq innsaw VPjAP11 M usajio 9-sd MOM dUNIM 1c yawana a &SAW CM002 Mkods Db 10 yusviahw UB NO aqmai dj1w misnucat 5a* WSW eyl 01 wnswino shi 31 bOADMVP •lesmsy ac 11smammul snowsalupsa aldi 01 asVOMISJO ad: to too no mom: summia paillen bTausoso MG 1.941021 nsp at bewolls .bevolqqz (nevoy sninsymM 01 31B F -VP COMPUTER METHOD SUMMARY Page 8 C-21 -------------------------- ----------------------------- ------------------------------ Project Title.......... MR. & MRS. SIPOS Date..04/11/02 20:47:3; Project Address........ 1653 HALPIN LN. ******* ____________________- PALERMO, CA. 95968 *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM C -2R ------------------User#_MP2246 User -Barry Rubanoff Run-SIPOS ------------------------------------- ----------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) Design Design Margin = = P Heating .......... Space Heatin0.07 17.71 --- 17.64-- _--- = Space Cooling.......... 8.92 16.11 -7.19 = = Water Heating.......... 13.38 11.68 1.70 = = Total 40.01 45.43 -5.42 = _ *** Building does not comply with Computer Performance GENERAL INFORMATION Conditioned Floor Area..... 1918 sf Building Type .............. Single Family Detached Construction Type ......... Existing Plus Addition Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... 1 Number of Building Stories. 2 Weather Data Type.......... ReducedYear Flobr Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 16, Slab On Grade 1 15344 cf 1572 sf 10.1 % of floor area 0.83 Btu/hr-sf-F 0.68 8 ft me COMPUTER METHOD SUMMARY Page 9 C-21 Project Title.......... MR. & MRS. SIPOS Date..04/11/02 20:47:3' MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM C -2R User#-MP2246 User -Barry Rubanoff Run-SIPOS ------------------------------------------------------------------------------- Zone Type -------------- HOUSE Residence BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage (sf) (cf) Units itioned Type (ft) (sf) Credit ------------ ----------------------- ----- -------- --------- 1918 15344 1.00 Yes Setback 8.0 Standard No Area Surface (sf) -------------- ------ HOUSE - Existing 1 Wall 3 Wall 4 Wall 6 Wall 8 Roof 12 Door HOUSE - New 2 Wall 5 Wall 7 Wall 9 Roof 13 Door OPAQUE SURFACES --------------- U- Insul Act Solar ' Form 3 Location/ factor R-val Azm Tilt Gains Reference Comments ----- ----- --- ---- ----- ------------ ---------------- 359 0.065 17.8 270 90 Yes W.19.2X6.16 (W) 406 0.065 17.8 0 90 Yes W.19.2X6.16 (W) 401 0.065 17.8 90 90 Yes W.19.2X6.16 (E) 224 0.065 17.8 180 90 Yes W.19.2X6.16 90 1092 0.031 30 n/a 0 Yes R.30.2X4.24 Attic 20 0.330 0 0 90 Yes None ENTRY DOOR 139 0.081 15 270 90 Yes W.15.2X4.16 134 0.081 15 90 90 Yes W.15.2X4.16 171 0.081 15 180 90 Yes W.15.2X4.16 480 0.025 38 n/a 0 Yes R.38.2X4.24 Attic 18 0.330 0 90 90 Yes None REAR DOOR Length Surf ace (ft) HOUSE - Existing 10 SlabEdge 97 HOUSE - New 11 SlabEdge 64 Orientation 0.940 ------------------ HOUSE - Existing 1 Wind Front (W) 3 Wind Front (W) 4 Wind Front (W) 5 Wind Left (N) 6 Wind Back (E) PERIMETER LOSSES ---------------- F2 Insul Solar Factor R-val Gains Location/Comments --------------------"---------------------- 0.760 R-0 No 0.760 R-0 No FENESTRATION SURFACES --------------------- Exterior Area U- Act Shade (sf) factor SHGC Azm Tilt Type Location/Comments ----- ----- ----- --- ---- -------- ------------------------ 32.0 0.940 0.700 270 90 Standard Metal/Slider/SC=0.88 17.5 0.940 0.700 270 90 Standard Metal/Slider/SC=0.88 32.0 0.940 0.700 270 90 Standard Metal/Slider/SC=0.88 6.0 0.940 0.700 0 90 Standard Metal/Slider/SC=0.88 17-5 0-940 0.700 90 90 StandArd Mp-tAl /Ri ; dPr/Rr=n . RR COMPUTER METHOD SUMMARY Page 10 C-21 Project Title........... MR. & MRS. SIPOS Date..04/11/02 20:47:3' I MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM C -2R User##-MP2246 User -Barry Rubanoff Run-SIPOS ------------------------------------------------------------------ FENESTRATION SURFACES --------------------- Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ---- --- ------------ ------------------------ 7 Wind Back (E) 12.0 0.940 0.700 90 90 Standard Metal/Slider/SC=0.88 8 Wind Back (E) 6.0 0.940 0.700 90 90 Standard Metal/Slider/SC=0.88 10 Wind Back (E) 4.0 0.940 0.700 90 90 Standard Metal/Slider/SC=0.88 11 Wind Right (S) 16.0 0.940 0.700 180 90 Standard Metal/Slider/SC=0.88 HOUSE - New 2 Wind Front (W) 21.0 0.500 0.610 270 90 Standard VINYL/Slider/SC=0.88 9 Wind Back (E) 8.0 0.500 0.610 90 90 Standard VINYL/Slider/SC=0.88 12 Wind Right (S) 21.0 0.500 0.610 180 90 Standard VINYL/Slider/SC=0.88 OVERHANGS AND SIDE FINS ----------------------- ---Window-- ------Overhang----- =--Left Fin--- ---Right Fin -- Area Left Rght Surface (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght --- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- HOUSE - New 2 Window 21.0 6.0 3.5 2.0 0.58 n/a n/a n/a n/a n/a n/a n/a n/a 9 Window 8.0 2.0 4.0 2.0 0.58 n/a n/a n/a n/a n/a n/a n/a n/a SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ HOUSE Standard Slab 1572 HVAC SYSTEMS ------------ Refrigerant Tested ACOA System Minimum Charge and Duct Duct Duct Manual Duct ---Type------ Efficiency Airflow Location R -value .Leakage D Eff ------------------------------------ -------- ---- HOUSE Furnace 0.780 AFUE n/a Attic R-4.2 No No 0.76 ACSplit 10.00 SEER No Attic R-4.2 No No 0.665 ., �a��-- COMPUTER METHOD SUMMARY Page 11 C-21 Project Title.......... MR. & MRS. SIPOS Date..04/11/02 20:47:3' MICROPAS6 v6.01 File-SIPOS2 Wth-CTZ11S92 Program -FORM C-2R ------------------User##-MP2246 User -Barry Rubanoff Run-SIPOS ----------------------------------------------- ----- WATER HEATING SYSTEMS Number Tank External in Energy Size Insulatior Tank Type Heater Type Distribution Type System Factor (gal) R -value ------ - ---------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.60 40 R- n/a REMARKS r HVAC -SIZING Page -12=====_____�� Project Title.......... MR. & MRS. SIPOS Date..04/11/02 20:47:3' Project Address........ 1653 HALPIN LN. ******* ------- - ------ ------- PALERMO, CA. 95968 *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CIL 95916 530-589-4102 Field Check/ Date Climate Zone........... 11. --------------------- Compliance Method...... MICROPAS6 v6.01 for -2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 rile-SIPOS2 Wth-CTZ11S92 Program -HVAC SIZING ,J _u nnF 7eiq}-t•, 64.46 User-Darry Rubanoff Run-SIP00 ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Volume ..................... 15344 cf Front Orientation ........... Front Facinq .�j1G1111.� Location . V lvHITT VI:Vll1LL T L' r1i7- Latitude .................•. 39.5 degrees Winter Outside Design...... 30 F •! Winter inside Desicf 1 . . . . . . . �i Summer Outside Design...... 104 F Summer Inside Design....... 78 F RailgC . . ... . . . . . . . . . . . 37 F Interior Shading Used...... Yes Exterl or Sharlin1 Used, - No cis P �-n.ana tinarti nc [j�r�ci , _ - _ ypG Latent Load Fraction....... 0.20 HEATING AND COOLING. LOAD SUMMARY -------------------------------- Heating Description. (Btuh) --------------------------------- Opaque Conduction and Solar...... Glazing Infiltration ..................... znternai Gain,,_____ UUCTg: Z .......................... .......................... Sensible Load .................... Minimum Total Load 12297 6177 nia 8728 n/A1 30142 _i J ? i r-! 30142 270 deg (W) Cooling (Btuh) 5480 4145 HBit. 3583 2100 i4A 8 26597 5-119 31916 Note: The loads shown are only one of the criteria affectinq of RVAC equLpIt CfLe Other releVCant '.d-7-5 qj1 faC to--- -- -- _ requirements, outside air, outdoor design temperatures, availability of equipment, oversizing safety margin, etc., 1r,6��. s! b4sl L✓J6dN 2,A/d.iAV VV J* f ul,tvrq VVi G.L1 .:a c�i c.:%tii�g thG AA TA WAC ;;:.:Ta i P M C the selection G1.7 Gtli Lll1 NJ coil Sizing, must also be • ONVNER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearit&g your sipt�a Please complete and return this information at your earliest opportunity to avoid neaeoeasa�rp► in processing and issuing your building permit. No building permit will be issued until $ds verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO O 2 '1 HAVE HAVE NOT C3 signed an application for a building permit for the proposed Via& . I have contracted with the following ? n firm to provide the proposed eonstructiosl: _ NAME: ADDRESS: CITY: PHONE: CON'TRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NA1vtE: ' CITY: PHONE: CONTRACTOR'S LICENSE NO. 5.. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK IGNED: PROPERTYOWNER: DATE: ( n — L( _ V NO TE: This Owner -Builder Verification is required by Section 198.11 and 198.12 oVAt California Health and Safety Code. This varication must be eompW d std returned to our office before we are permitted to issue the permit OVER O`vPi ER BUILDER INFORINIATION cez- P-oC,!^i An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible paty of record on such a permit. Building permits are not required to besigned by property owners unless they are personalty perfoemit 16eir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various, trades that you plan m subcontract, you slautd be aware of the following information for your benefit and protection: • If you employ or otherwise enpge any persons other than your immediate family. and the work (including materials and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcorcactors. hen you may an employer. ♦ f f you are an eatplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment. compensation contributions. There may be Friancial risks for you if you do not carry out these obligations, and these risks are especially serious w;th respect to worker's compensation insurance. ♦ For more scecitic information about your obligations under Federal Law, contact the (ntemal Revenue Service (and, i r You wish, the C.S. Small Business Administration). For more specific information about your obligations under S ate Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If tt:e Mc ur_ is intended for'sale, property owners who are not licensed contractors are allowed to perform their work personally or hrou&h their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owner unless they are performing their own work personally. Infcr-nacion about Iicernsed'contractors.may be obtained by contracting the Contractors State License Board in your cornmuniry or at 101-0 N Screet, Sacramento, CA. 958 14. Please complete the "C►wner Builder Verification" on the reverse side of this fora so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mic el C. Vi ira, C.B.O. r N1 ger, Building Inspection NOTE: Tlt:r Owner -Builder Information is required by Section 19SJO Of the Colijornly Xea111r and S f Coda. OVER (�'.� M" �"j/•'�. ..�-•r T.. w...t" ,A'!•"�fth•r"„e'+".'.^�l�..ur.1�''K'"T'*""'M'n:t.h}'!��''.r�i.i3''h.!''^°+"Y�4�"'�Rf�"'.�W'wR>nw,fF�•....4.�nC�+w,�m'Iw.'i...A.+•..1�r...ms.�."TtI�.F.•...,: r.ti�,�. School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 12�U l CLQ � Building Department No. V 2/ Ae" –W— r:4/ ion: L—J City Property Location/Address Subdivision Residential Development J L Commercial/I ndustnal r 4 County Lot No. ................................................................................ s �........................� Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # "(No foundation inspection'! ................................................................................................................ moor rians reviewea oy bcnooi u4 � ^ District Identification No. 3 f; AYI l � 4 � Grt�l-Q u �/ lU ( School District certifies tha cin uistnct versonnel) J. Sq. Footage (Including Exterior Roofed Areas) Date` (Applicant) 1 (.4 ;�� ►--Ira 1 ( C �43—,�i /: L M ofqq6 -/ -aso—os AFFIDAVIT REQUESTING D UPLICA TION OF PLANS (California Health and Safety Code Section 19851) The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner. I hereby request duplicate copies of the building plans on file with the Butte County Building Division for Permit Number - A, 3 (o" 91 and the building known as 16 53 Ila ld2ev I -Ay. A I-Cf~d (Residence a Business Name) I am aware of the following three provisions of the Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. Current Building Owner CIL n Design Professional of Record: N' ® Al -e N K Signature••of person requesting copies: t� - 5,� �� �. :/9 on Printed or typed name of person requesting copies- U11 Date: 12 - I q - 0 �. Address: ] 65-3 No 1 to in CA Prrn0 Reason for requesting duplicated set of plans: For Building Department Use ❑ (hvner Permission received - Date Sent: ❑ Prc fessional Permission received - Date Sent: Receipt Number: -3 -- rj7 Date Received.• Date Recei i Berl.• kh-i rh 1996 b I . California Health and Safety Code 19851 Inspection of records; duplication of plans a. The official copy of the plans maintained by the building department of the'city or county provided under Section 19850 < shall be.open for inspection only on the premises of the building department as a public record. The copy may not be duplicated in whole or in part except (1) with the written permission, which permission shall not be unreasonably withheld as specified in subdivision (f), of the certified, licensed or registered professional or his or her successor, if any, who signed the original documents and the written permission of the original or current owner of the building, or, if the building is part of a common, interest development, with the written permission of the board of directors or governing body of the association established to manage the common interest development, or (2) by order of a proper court. ; b. Any building department of a city or county, which is requested to duplicate the official copy of the,plans maintained by the building department, shall request written permission to do so from the certified, licensed, or registered professional, or his or her successor, if any, who signed the original documents and from (1) the original or current owner of the building or (2), directors or other governing body of the association established to manage the common interest development. C. The building department shall also furnish the form of an affidavit to be completed and signed by the person requesting to duplicate the official copy of the plans, which contains provisions stating all of the following: 1. That the copy of the plans shall only tie used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. d. The request by the building department to a licensed, registered, or certified professional may be made by the building department sending a registered letter to the licensed, registered, or certified professional requesting his or her permission to duplicate the official copy of the plans and sending with the registered letter, a copy of the affidavit furnished by the building department which has been completed and signed by the person requesting to duplicate the official copy of the plans. The registered letters shall be sent by the building department to the most recent address of the licensed, registered, or certified professional available from the California State Board of Architectural Examiners. e. The governing body of the city or county may establish a fee to be paid by any person who requests the building department of the city or county to duplicate the official copy of any plans pursuant to this section, in an amount which it determines is reasonably necessary to cover the costs of the building department pursuant to this section. f. The certified, licensed, or registered professional's refusal to permit the duplication of the plans is unreasonable if, upon request from the building department, the professional does either of the following.- Falls ollowing:Fails to respond to the local building department within 30 days of receipt by the professional of the request. However, if the building department determines that professional is unavailable to respond within 30 days of receipt of the request due to serious illness, travel, or other extenuating circumstances, the time period shall be extended by the building department, to allow the professional adequate time to respond, as determined to -be appropriate to the individual circumstance, but not to exceed 60 days. 2. Refuses to give his or her permission for the duplication of the plans atter receiving the signed affidavit and registered letter specified in subdivisions -(c) and (d). 19852 Fees; limitations The governing body of a couy or city, including a charter city, may prescribe such fees as Nyill pay the expenses incurred by the nt building department of such city or county in maintaining the official copy of the plans of buildings for which it has issued a building permit, but the fees shall not exceed the amount reasonably required by the building department in maintaining the official cop}' of the plans of the buildings for which it has issued a building permit. The fees shall be imposed pursuant to Section 66016 of the Government Code. 19853 Exclusion of banks, financial institutions or public utiliti- .. This chapter shall not apply to any building containing a bank, other financial institution, or public utility. s" 1 COUNTY OF BUTTE.r. ti BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES "' R 411 Main Street • Chico, 'CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 r CORRECTION NOTICE . r S 2 '4 L/ f OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the v P 9 tY �a above address and should be corrected. Please notice this office when correction of work Is completed. If you have any questions pertaining to this matter, or need additional explanation, *fir please contact this office immediately._ k Date Inspector REV 10/92 X j NOTES i RESIDENTIAL PERMIT NO '' tO P's aa Le- (pS3 Ham LLWE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 fj '1 f JOB FINALED (Date) r Signature �- i J=OK 0 = Not OK . = NotApplicable Not Ready 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/0 -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive Cl Yes ❑ No/Walks O Yes 0 No/Planters O Yes O No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive Cl Yes ❑ No/Walks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#:(530)538-2140 WEBSITE: www.buttecourity.net\dds PERMIT NO. BP043200 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/03/2004 APN: 026-250-051-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1653 HALPIN LN PAL Date: Contractor. Map Index: Description: inspection to final OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SIPOS CSABA B & NIKOLETT permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1653 HALPIN LN signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95968-9639 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the to a civil penalty of not more than five hundred dollars ($500).): ,applicant S) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIPOS CSABA B & NIKOLETT Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Busine s and Professions Code Date: Owner: .1000 License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply those provisions. (with Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under theapplicable provisions -of the Butte County Coda anrt/or Resoluti I hereby affirm that there is a construction lending agency for the s to doin�dfworkich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , (✓ Name: B . Date: Address: PERMIT EXPIRES ON: w ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter u on the above mentioned property for inspection purpose C Print Name: l [ S Signature: cJ Date: "I Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor a ... �... ,,F { .r.-,,,. _. ,,,,� .,�� ?y.. >:. '-•r e-Ak k. ^vim �'s: .•v. Eqs. �r, ter,.,, F � 026-250-051 03-3434 CSABA, SIPOS 1F,53 HALPIN LN, PALERMO Cont: OWNER` 1ST RENEWAL #02-276'4 0 V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) ' APPLICATION AND PERMIT D 3 -.3413 ASSESSOR PARCEL NUMBER '026-250-051 ZONING BUILDING PERMIT OWNER CSABA SIPOS TELEPHONE 533-8807 SO. Fr, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 1653 HALPIN IN• PALERMO 95968 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee _ $ 58.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee r ? . $ BUILDINGADDRESS HALPIN LN. P Energy Plan Checking Fee 'r e $1653 $ PERMIT FEE $ • LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF a Duplex ❑ Mobilehome ❑ Other 1 SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: IST RENEWAL BP# 02-2764 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200. "R.: S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDS. s0 3.5¢FT. NO IDT. MULTI.OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20 @''00 SAL @ .50 Ex. Occup. GFlXu E°f5A -CRM.) ) Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation C]`of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. - ,�}-- X c i, 1 i !� ) Date (J Signature of Applicant ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 78.50 HAZ D FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated abo'$ or_which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ' �, Date l f l0 /Date Receipt No. . _1 / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I\ f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP043200 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/03/2004 APN: 026-250-051-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1653 HALPIN LN PAL Date: Contractor. Map. Index: Description: inspection to final OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SIPOS CSABA B & NIKOLETT permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1653 HALPIN LN signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95968-9639 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): SLY I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIPOS CSABA B & NIKOLETT Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ ,1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I a�m� Exempt under Article 3 of the Busine s and Professions Code Date: _!1_ T— Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply those provisions. (with Date: Applicant: d� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor % code, interest, and attorney's fees. / C CONSTRUCTION LENDING AGENCY This permit is hereby issued under theapplicable provisions of the Butte County Cods anrt/or I hereby affirm that there is a construction lending agency for the Resoluti s to dcl,,work in i ted ab for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /(✓ Name: B Date: _ Address: PERMIT EXPIRES ON: �+ ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, 'handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter u on the above mentioned property for inspection purpose . Print Name l \ i� Signature: �� I Date: Owner 13 Contractor ❑ Agent for Owner 13 Agent for Contractor y:s + d { � . �' .�: 7� ✓ P � ., r � � .� a � .�� ..� �a .?' . . •�: s i..,, .4, � x w ' E 4„ K� '` . Y e L4 i. v .._lit _ t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND�PERMIT D 3 -13 8y ASSESSOR PARCEL NUMBER 026-250-051 ZONING BUILDING PERMIT OWNER CSABA SIPOS TELEPHONE 533-8807 SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1653 HALPIN LN PALERMO 95968 d CONTRACTOR'S NAME TELEPHONE CONI TORS MAILING ADDRESS CONSTRUCTION LENDER [,Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 58.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 169-1 14ATPTN IN, PATERM0$ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1 -ST RENEWAL RP# 09-9764 Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service 20 AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business Professions Code, ) ness anons and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La�w °r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO +OOOA 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BUDS. So 3.5¢FT. NEW CONST. MULTIOUTLET . NON•RESID. @7.50 Po APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. ouTLET OR FDnURES 2O 0 "00 aAL o .w Ex. Occup. DFlx�LEEo�A R p OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 dd I — PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those provisions. X 0 Date Signa ure ofppIica ❑ Own ❑ Contractor ❑ Agent An OSHA permit is required for exca ations over 60" deep and demolition or construction of structures over 3 stories in heig Ll Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 78.50 HAZ. D. FEES IMP I FLOOD I CDF PARCELPD HD ISSUE This permit is hereby issued under of the Butte County Code and/or Lind4icatAabof hich fees have By PERMIT EXPIRE ON the applicable provisions Resolutions to do work been paid. I .�J Date l0 " a Date Receipt No. aJ /) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PER 7 County Center Drive - Osroville, California �A95965 • Telephone (530) 5385 � (Rev.12/96) APPLICATION AND PERMIT rrr ZONING7�BUILDING PERMIT ���,C,— ) / ✓ �/ J„E `? SQ.FT. OCC. BUILDING VALUATION Wax -nm) 1) CONTRACTORS NAME CONSTRUCTION LENDER LENDERS MAULING ADDRESS ARCHITECT OR ENGINEER ARCWMCT OR ENGINEERS NANNG ADDRESS Permit Fee Plan Checkil Energy Plan Fee $ $ _RMIT FEE $ tPARULL PLUMBING PERMIT LOT N0. SUBDNISIDNS NAME2Trapng USEOFSTRUCTURE um water heater SF� Duplex ❑ Mobilehome ❑ Other SPMVTYPE OF WORK tem 1 - 5 outlets NewAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer S G W —_ Mobile Home n Descri a rk: J� I� /— 1 vi PERMIT FEE S ELECTRICAL PERMIT Main Service = DDRR LESS Main'Service ( 2-A, TO .PERMIT, FEE PAID SRA $ SHERIFF $ OTHER $ $ AMOUNT RECEIVED l 1 DATE RECEIVED •L101111111111111 20.00 t v I .✓ 1-1 iling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 Feel 20.00 1 @7.50 Ex OCGU oIJn.ET OR FIKIURES BAL - .50 Ex Occu vILFTs oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 PERMIT FEE 1 $ 0 20.00 I Cooling Hood 6.50 PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ '\ =c CONST. TYPE TOTAL FEE $ ► \ HAZ D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD j ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ' a i i 'r l•... i s' bN _.. _ .- C'�.; ,fee•. • t e i 'r l•... i • •' f' +ice .:.t" q ». � t r � '1 • Y .. _.. ' _ •". � � � t} . .sT; 7.11 t O.B.- I I OWNER-BUII.,DER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property im rovement : YES NO O I HAVE HAVE NOT ❑ signed an application for a building permit for theproposed p p oposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the maj or work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTYOWNEO / I r � oh NOTE. This Owner -Builder VerYkation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our offue before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Govemments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the strucWM is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95914. Please complete the "Owner Budder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. g Y. C. w ira, C B.O. r, "Building Inspection NOTE: AIS Owner -Builder lnfornmdon is required by Section 19830 of the California Seakh and Safety Code OVER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 01 AGRICULTURAL B.U`ILDI1NG EXEMPTION PERMIT ERMIT �— Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING A -'s PARC/EL v A 6� OWNER ` C. PHONE N0. ona 71 OWNER'S ADDRESS Z 'CAI w� e LOCATION OF BUILDING USE OF BUILDINGX. r O G� SIZE OF STRUCTURE i X _ T SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME __Y_STEEL CONCRETE OTHER (Specify) %ROOFCOVERING TYPE OF SIDIN�rlr_ FLOOR TYPE e/ 7e- e-- O ESTIMATED COST OF CONSTRUCTION - $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as folly: / // e/ FRONT600_� SIDES .it REAR Sl e- AG Buildings shall be a minimum of five (5) feet from any septic tank or, leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date ,S' Z Signature of Owner��t��J(21t' CNO Permit Fee -�The above described AG Building is exempt from a building permit. Receipt No. L[-6-8 75-� Director of Public W ks By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD PARC/EL v P.D. ROOFING ✓ ,ISSUE v Director of Public W ks By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant r,._, .n,,.�.-•�Ylr�'4�,-�'"`+�^1r �.f�'."�} ,_C 'S-r.,�N`lK?'M�%i._.�"i�`1'v►''•�,ry'�.,p,'i�+���7'T"TKs��;31.P° Std' :.-'r' . COUNTY OF BUTTE �*W&ARTMENT OF PUBLIC WOt -BUILDING DI ISION 7 COUNTY CENTER DRIVE' OROVILLE, CALIFORNIA 95965• - TELEPHONE (916) 538-7541 } PERMIT APPLICATION DATA SHEET f, OWNER �U/I% %^i6ol, A f��5 A. P. No, Proposed Building Use A& - r✓ � Building Inspector t6 Building 6 - =s 7Z_ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ................................... I..... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ 5. Hazardous Material Form.' ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ............ 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . st 20. Pre -inspection for to Building In" req° required. . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) ............... 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Owner -Builder Verification (Given to owner , Mail to owner ). ........... ......... . 24. Recorded copy of Agricultural Acknowledgement Statement. - ............. ��.... .; 25. Letter of signature authorization ..................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other "► Parcel Creation's 72 Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in- File cabinet AP folder Copy - Department of Public Works - + -� •- --- 1Liimate Zone ii Project Title Project Address tion BUILDING DATA ditioned Floor Area yah, (SlalRaised Floor Single Family Detached (SFD) ] Single Family Attached (SFA) [ l Multi -Family (MF) Number of Stories_ Numberof.Units [ ] Addition -Alone [ ] Existing Building [ ] Existing -Plus -Addition Building Permit N zn -� - 0 Checked By / Date Etforcernent Agency Use oniv North 6 Glass Area % Glass =�r�- � East 9. S South West a Skylight Total. n u.u,WINU SHELL INSULATION, Component Insulation Localion/Commenits Type R -Value (attic, tolflragta. r�iaaE, etc.)' Wall .............. Wall .............. Roof ............. Roos' ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Orientation (Sf) (single, double) (roller blind. etc.)Overhang Framing Type North (3h8de3CTeM M) (yes/no) (nletal/�Wood) ( ) �o_ .��. L h East 1 East ( ) South South West ( )- i/ West ( ) •, Skylight....... __Z2_ THERMAL MASS ' TYpe/Covering Area, Thickness (slab/exposed, tile, etc.) (SO (inches) LOcation/DCScr➢ption (kitchen• bath etc.) a HVAC SYSTEMS Minimum ' , Duct Type (furnace, air- Efficiency ' Location Duct Output Manufacturer /Model # conditioner, heat um) (SE, SEER,HSPF(attic, etc.) R -Value tuh or aPorbyed equal) - A4aximum F 41171at.c Hraiing Output: Bruh v HOT WATER SYSTEMS �t ' �i �F f��as 1 t— Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity fnr annm.,n.i ..a !'11 4• -� --------------------- SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) r- Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures re approach use4 Items marked with an asterisk (•) ma De sir es of the compliance y superseded by mare stringent compliance requirements fisted on the Cenificate of Compliance_ When this checklist u incorporated into the permit document:, the fc&1ur" noted sMU be considered by all parties as binding minimum component perfklfmnce specifications for the whether they are shown elsewhere in the documents or on this checklist only.' dory measures DESCR1PI70N DESIGNER ENFORCEMENT Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R-19weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value- • §2-5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). ' §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perntlmch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards_ Indicate type and form, §2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spacer designed to Emit air leakage. b. Doors and windows certified. c. Doors and windows weaUurstripped: all joints and penarations caulked and sealed §2.5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach caktdationL §2-5352(h) and 2-5315: Setback therrnaatat on all applicable heating systems- ' §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have clamper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices - §2 -5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interiorlexterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating piping. §2-531R(d): Swimming Pool Heating I. System has: a. Orloff switch on heater. b. Weatherproof instruction plate on heater: --- c. Plumbed to allow for solar. 2. 75 percent thermal cfftcieney. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.5352(j): Lighting - 25 lumens/watt or greater for general fighting in kitchens and'bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This cerdficate of oomgliance lists the building features and performance specifications needed to comply with lisle 24. Chapter 2-53 and Title 20. Chapttr2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design respensibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purrluser of the building. Designer Name: rakdFunu Address: (signatum) Documentation Author Name: Address: (date) Building Owner Name: ritk�i-tmt: Addmz,t- Telephone (si6na 1�2 (date _ Enforcement Agency . Name: Agency: Tckphonc i 1. Ceiiing insuiatioa -4 3 -1 Insulation in Floor Number of stories 0.70 R -value One Two Three R-0. -103 -49 32 R-19 -8 -4 -2 R-30 • .2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -4 3 -1 Insulation in Floor Single- Single - 0.70 Number of stories Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 R-30 3 R-19 8 6 4 U -value -.14 3 A44 0:80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation -4 3 -1 Insulation in Floor -1 -1 0 0.70 Number of stories 2 1 R -value One Two Three R-0 -17 -8 .5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 37 .26 -.14 3 A44 -70 -46 0.50 -120 -58 38 0.40 -95 -46 _0 0.30 -69 -34 12 0.20 -43 -21 -22 14 0.10 A7 -8 28 0.08 -11 -6 .2 0.06 -6 -3 2 ... 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -14 .7 Number of stories 7 R -value One Two Three R-0 11 -7 -5 R-5 -4 -4 -4 R-11 .-2 -2 2 R-19 1 -2 .2 4. Slab Edge Insulation 15 21 34 Number of Stories -2 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) specification Points Standard 0 6. Glass Heat Lass Total Exterior Wall Slab Floor EffeCtive Pev c t Glass Efyeetlre Pereeslt Glass U -value Stories Percent (percent YWs x SC) Effective .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 .24 -10 4 40 -90 37 .26 -.14 3 8 35 -75 -29 -19 .9 1 10 30 -61 -21 .13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 .18 .10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 _8 .1 7 14 25 -46 -14 .7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 34 .7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 11 -9 -6 6 7 9 10 12 13 15 16 19 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Exterior Wall Slab Floor EffeCtive Pev c t Glass Efyeetlre Pereeslt Glass U -value (0.030) Stories (Pereent Qlaat x SC) (percent YWs x SC) Effective Effective /CFA One Two ' %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na -' 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2, 2 6 1 3 4 2 3 5 1 2 4 2 3 4. 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 .1 -2 -4 -2 0 na = not allowed -11 -10 f6. Shading (Shade Closed) Exterior Wall Slab Floor EffeCtive Pev c t Glass Mass U -value (0.030) Stories (Pereent Qlaat x SC) 0 0 0 Effective 3 2 1 /CFA One Two Three %Glass - North Eau South West ' Skyfght 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35. -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 4 -14 -19 -18 -47 ,6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 .30 4 -1 -6 -8 -7 .23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na • not allowed 3 7 8 10 9. Interior Thermal Mass Interior Exterior Wall Slab Floor Rimed Floor Mass U -value (0.030) Stories 0.00 0 0 0 Stories 3 2 1 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 .1 1 1 2 0.7 -5 -2 -1 1 2. 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 .4 5 1.5 -3 1 2 4 5 5, 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4:0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 , 14 . 8.0 7 10 11 13 14 14 8.5 7 10 12 13 . 14 15 10. Exterior Wall Thermal Mass Exterior Wall Single- single - Mass Family Family Multi U -value (0.030) Detached Atmcbed Famly 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. 1.80 10 12 ' 12 200 10 11 13 11. Heating System more SE or HSPF -14 (assutnes duets In attle) -8 Sum of 14 -4 _ -25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 .6.88 3 3 3 2 2 1 0.80 :7.33 8 7• 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 -3 -3. Effective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 b 4 to +6 in 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 •-30 na 3.41 -45- -39 -34 -29 -24 .18 0.40 3.67 -34 30 -26 -22 •-18 -14 0.50 4.58 -10. -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28_ 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 ' 4 3 2 2 12. Cooling Sysvm ` 3or R -v ue [3838 J U -value (0.030) SEER -4 -4 -3 -2 -2 (assume; ducts In attic) 2 2 2 Stm of 7-10 Single ktached x SEER 19.51 -2S or 24 to s14 to .4 to +6 to 16 or SEER less -15 f 3 +5 +15 more 8.0 -14 .12 -10 -8 -6 -4 8.5 -9 -7 -6 -5- -4 3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3. -2 -2 -1 9.5 0 0 0. 0 0 0, 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 - 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 0 HWR -18 .12 -9 -7 -6 WS8 . ERedlve'SEER -16 .12 -10 (SEER xduct efficiency) POU -18 _-12 Sian of 7-10 -7 -6 IG None Effective -2S or -24 to -14 to -4 b +6 to 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11, -9 -7 -6 4 6.6 -5 4 4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3' 9.0• 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories ` 3or R -v ue [3838 J U -value (0.030) One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single ktached x SEER 19.51 Duct Efficiency [0.74] Effective SEEK17.031 -Family G(� and Attached u. rsc•.. a Unit Size (s¢ Water Heater U -edit 099 .'112001' '1700 2200 2700 TYPe Type or less]1699 b to 2199 to ,or-- 2699 more SG None 0 0 0.. 0 0 or Solar 12 8 6 5 4 HP -HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU .8 5 4 3 3 SE None -37 -24 -18 -15 .12 ` Solar -1 -1 -1 0 0 HWR -18 .12 -9 -7 -6 WS8 . -25 -16 .12 -10 .8 POU -18 _-12 .9 -7 -6 IG None 5 -3 - -2 .2 -2 Solar 7 5 .4 3 2 POU .3 _ 2 1 1 1 IE None -28 -19 _ 14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (individual units) 0.9 Water 699 Unit Size (sQ X 700 12W 1700 2200 Heater Credit or' to to b or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 26 WSB 9 4 3 2 .2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 '.5 WSB -25 -13 .8 -6 -5 __ROU _23 _12 -8 .6 .5 IG None -8 -4 -2 1 -p Solar 6 3 12 POU 1 0 0_ 0 0 IE None 30 -15 -10. -8 -6 Solar 18 9 6 4 4 POU -8 -4 -3 -2 -2 Interior Mass/CFA IT" :loss ` 3or R -v ue [3838 J U -value (0.030) or R -v ue [ 11 U -value [0.098] or __ OND . L OR AREA R -value [191 U -value [0.037] or Zonal Control?`(Y % N`) f 1 SE or HSPF 1[0�7Z(6.61 R -value [01 F2 factor [0.77] Standard Zonal Control? (Y,/ N) x SEER 19.51 Duct Efficiency [0.74] Effective SEEK17.031 13. Water Heating G(� Type [SGI u. rsc•.. a tcavecw -t.b1 t TYPE t MASS (UI?tC h 4. 2, le: exposed slab) 0%� 5% 109'- 1S% 201/6 2S% 30% 35% 40% 4S% 50% 56% 60% 61t 70% 75% 00% 85% 90% 95% 100% 105% 1toy. 115% 120X 125 OY. 1075 0 0.2 0.2' 0.4 0.4 0.6 0.6 0.6 0.8 1 1.1 ' 1.3. 1.S 1.7 " 1.9 2.1 23. 2S 2.7 2.9 3.2 9.! 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 1.2 1.4 1.6 1.9 21 2.3 Z4 2,5 • 2.7 2.9 3.1 3.3 3.5 3.7 4 42 4.4 4.6 4.8 S 5.2 5.4 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 28 22 21 26 Z7 2.8 9 3 3.2 3.5 3.7 9A 4.1 4.3 401/. 0.7 0.9 1.1 1.3 1.5 1.7' 1.9 22 24 26 2.8 3 3.2 3.! 3.6 3.8 4 1.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 5095 0.9 1.1 1.3 1.5 1.7 1.9 21 23 23 27 3 3.2 3.4 3.6 3.8 4 42 4.4 <.S 1.1 4.9 5.1 5.3 5.5 5.6 5.9 4.6 4.8 5.1 , 5.3 5.5 5.7 5.9 6.1 55% 60% 0.9 1 1.1 1.2 1.4 1.4 1.6 1.7 1.6. 1.9' 2 21 2.2 23 .24 2.5 2.6 28 3 32 3.5 3.7 3.9 4.1 49 4.S 4.7 4.9 ' 5.1 5.3 5.6 5.8 6 6.2 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 2.7 28 2.9 3 3.1 3.2 3.3 3.4 3.5 3.8 4 4.2 4.4; 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 63 3.8 3.8 4 4.1 4.3 4.5 '1.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 75% 1.3 1.5 1.7 1.9 21 2.3 25 27 39 3.2 3.4• 3.6 3.8 49 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80%. 85% 1.4 1.4 1.6 1.7 1.8 1.9 2 2.1 2.2 2.3 2.4 2.5 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.6 6 6.2 61 66 2.7 2.9 3.1 3.3 3.5 3.8 ! 4.2 4.1 !.6 1.8 S 5.2 S / S.6 5.9 6.1 63 65 67 95% 1.6 1.8 2 2.2 25 21 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S➢ 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.2 S.3 5.4 53 5.6 5.7 5.8 5.9 69 6.1 6.2 6.4 6.7 6.9 105%' 110% 1.8 1.9 2 2.1 2.2 2.3 2.4 2.5 2.6 27 28 29 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.3 6.4 6.5 6.6 6.1 68 7 7 115% 2 2.2 2.4 2.6 2.8 3 3.1 3.2 3.3 3.4 3.6 3.6 3.8 3.8 4 4.1 4.2 4.3 4.4 4.S 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.S 3.1 3.9 4.1 4.4 4.6 4.7 4.6 4.9 S 5.1 5.2 5.3 S.4 5.S 5.6 5.7 58 5.9 6.2 6.4 6.6 6.8 7 7.2 125% 2.1 2.3 2.5 2.8 3 3.2 3.1 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6 6.1 6.2 6.3 6.5 6.5 6.7 6.9 7.1 7.3 6.7 7 7.2 7.4 rr._2- C4- -. n A V111L ►7J'AICIJI OUIIIIIIUFY; Climate Gone u SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures ` 3or R -v ue [3838 J U -value (0.030) or R -v ue [ 11 U -value [0.098] or __ OND . L OR AREA R -value [191 U -value [0.037] or Zonal Control?`(Y % N`) f 1 SE or HSPF 1[0�7Z(6.61 R -value [01 F2 factor [0.77] Standard Zonal Control? (Y,/ N) Type [double] U -value -10.651 % Total Glass (16] % G SC Eff. % Glass f.r X o X = 4� O x = %---- SC - Eff. % GI a. North x - • aZ b. East �. Y X = c. South r . x _ 3 d. West _ X - _ 'j_YL e. Skylight lam- X � 9. Interior Thermal Mass ` TYPE 1 MASS 'AREA Interior,V'us/CFA __ $ COND. FLOOR AREA 10. Exterior Wall. Mass TYPE 2 MASS AREA ` Exterior Wail Mass __ OND . L OR AREA 11. Heating System. f `rig 7- x Zonal Control?`(Y % N`) f 1 SE or HSPF 1[0�7Z(6.61 Duct Efficiency [0.78] Effective SE or r , 12. Cooling System . v HSPF [0.56/5.15] Zonal Control? (Y,/ N) x SEER 19.51 Duct Efficiency [0.74] Effective SEEK17.031 13. Water Heating G(� Type [SGI Credit [nonej Point Scores i d ' '0 Sum I r to Sum 7--10 O b59.98 N 89' 04' 47" E 659.17' !J- Jt aw 35692`.3 BLDRS -CRO-KCT4WINTERS. Tt1SS DWG. PREPARED FROM' COMPUTER''INPUT' (LOADS, & DIMENSIONS) SUBMITTED -8Y TRUSS MFR. STOP' CHORD-- 2X.4- .�Fia-LARCH, 41 TC X -:LOG L R: �. f3.29 6.41. 32:00 17.:59 23...71 - f n ;. BOT CHORD 2X4_ FIP.=_LARCH #1 ` D WEBS 2X4=. FIR-LARCI=I STANDARD BC X-LOC'L-R: 0,29-."8,.27 15.73 23.:71 c Lt1NNECIOR PL0E5•MUSE BE If�ISTALLEB 'IN ACCORDANCE WITH (U) '$OTTOM CHORD CHECKED FOR 10 PSE LIVi~ LOAD°, 3J RE©UTAEMENTS O I.C,B�O. RESEARCH REPORT)#2949, = ALL TOP CHORD SPLICES OCCURRING BETWEEN N v_ ALL PLATES �i LE iERED.. B�[_ JO1[�:T UNLESS C3THERWI5E ;SNDIGAiED . PANEL POINTS AAE TO 8E LOCA"fE i :AT APPROXIMATE .Y . V 5EE t RWGB 1317 fi i6.fitri50A-F' FS}R � TYR. PLATE LgCATION QETAILS 1/4 QP PANEL LENGTH FRQM PANEL POINT (WITHIN 42") AN � = _ SHOULD NOT OCCUR JO OP CHORD" . �i'ALL Z CATERALL1C BRACEi2 WI?f PRiIPERLY' CONN( CTED IN PANESS NEXT TO :A PANEL POINT SPLICE. p. PURL,!N5S 'SPFCEaYAT-- A-14AXIMt34 DF 2d Q.G- , "J; CONNECTOR PLATES DERIGNEP FOR GREEN: LUMBER PER NDE; v TABLE Br1B. hCtTEr '2X4 A t�Ei�T FTR OR ":BETTER CONTINUOUS LATERAL 'BOTr�OM o 1R#i _BRACING..@ 72` `MAX= O.C., zREGUIRED _ - A T TACH WITH. 2-1t6Ek f+iAIM. BRACINj S NOT, IP' A R IQ CEILING. .RE©UIREO iS;ATTACNEG-DIRECTL TO_BOTTOM:CHORD. BRACING MATERIAL ?O°` BE ;SUPPLIED- AND AT'TACHEU ATT BOTH ENDS TO A: SUITABLE SUPP[iRT` ay, m3tc ION couTRAGi OR. pFE8S z 9 2X6 (Al -2X.6 �A1) IL loo tu - 25}x`_ 2.5X 1 3Xi �� _ - - _ y i2-oo t��v - 2-0-0 200 R-8381 iti, 3.50' ,. -.. JYP;-A�i�ZNE#--157068: FURNISH A COPY OF-, 'THIS DESIGN T0 ERECTION CONTRACTOR REV 15.4..7- .SCALE _-O.250D �i t*J C] _O C m' STs Vim. 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